Rapid City Smiles- Implant & Family Dentistry

Rapid City Smiles- Implant & Family Dentistry was paid $13K by Medicaid between Dec 2021 and Mar 2023, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 40% of everything it billed.

33Billing provider infoRAPID CITY SMILES- IMPLANT & FAMILY DENTISTRY
RAPID CITY, SD 57701

33aNPI1942880471assigned 04/09/2021

33bProvider typeGeneral Practice Dentistry

28Total paid$13K

24GClaims430

24DCodes billed5

24AFirst – last monthDec 2021 – Mar 2023

Compared with peers

Next to other General Practice Dentistry providers in South Dakota

Rank by total paid#54 of 81

Median peer was paid$39K

This provider vs. median0.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2021	33	$1K
2022	309	$11K
2023	88	$904.75

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	40%	206	206	$5K
D1110	Prophylaxis - adult	30%	87	87	$4K
D1206	Topical application of fluoride varnish	13%	82	82	$2K
D1120	Dental cleaning, childProphylaxis - child	12%	38	38	$2K
D0274	Bitewings - four radiographic images	4.3%	17	17	$557.14

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGRAVES, DANIEL (OWNER)